This guideline covers managing ulcerative colitis in children, young people and adults. It aims to help professionals to provide consistent high-quality care and it highlights the importance of advice and support for people with ulcerative colitis.
NICE has produced a COVID-19 rapid guideline on gastrointestinal and liver conditions treated with drugs affecting the immune response. It recommends changes to usual practice to maximise the safety of patients and protect staff from infection during the COVID-19 pandemic.
NICE has also produced a guideline on colonoscopic surveillance for adults with ulcerative colitis, Crohn's disease or adenomas.
This guideline includes new recommendations on inducing remission in mild-to-moderate ulcerative colitis. These supplement the existing recommendations on:
- patient information and support
- treating acute severe ulcerative colitis
- providing information about surgery
- maintaining remission
- monitoring bone health, growth and pubertal development.
Who is it for?
- Healthcare professionals
- Commissioners and providers
- People with ulcerative colitis and their families and carers
Guideline development process
This guideline updates and replaces NICE guideline CG166 (June 2013).
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.